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General NPI Number Information
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NPI Number | 1720525637
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Entity Type | Organization
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Legal Business Name | LAON ACUPUNCTURE PC
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 37 CONGERS RD FL 1
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City | NEW CITY
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State | NY
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Zip | 10956-5135
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Country | US
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Telephone | 929-777-5220
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Fax |
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Provider Business Mailing Address
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Address Line | 37 CONGERS RD FL 1
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City | NEW CITY
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State | NY
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Zip | 10956-5135
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Country | US
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Telephone | 929-777-5220
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL KIM
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Credential | L.AC.
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Telephone | 631-375-0306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 5537
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License Number State | NY
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